Pilot study investigating pressures on amputees remaining limb (2.0)

  • Research type

    Research Study

  • Full title

    A cross sectional comparative pilot study to investigate the total pressures exerted on remaining limb when mobilising with an early walking aid versus a prosthesis during amputee rehabilitation.

  • IRAS ID

    168448

  • Contact name

    Kate Conneally (formerly Primett)

  • Contact email

    kate.conneally@nhs.net

  • Sponsor organisation

    Royal Free London NHS Foundation Trust

  • Duration of Study in the UK

    1 years, 6 months, 0 days

  • Research summary

    This study aims to investigate the overall contact pressures exerted on the remaining limb during walking in a group of amputee patients. Pressures on the remaining foot will be measured when the amputees are mobilising with an early walking aid (temporary prosthesis) compared with a made to measure prosthesis.

    The pilot study aims to identify the need for futher research demonstrating the requirement for more timely prosthetic rehabilitation pathways and earlier provision of patient specific prosthetics.

    The pressures on the remaining limb will be tested when the patient is standing and walking in a straight line and during turning. Foot pressure will be measured at the following three stages.

    T1) When the patient is able to safely mobilise two lengths of the parallel bars, post surgery independently with an early walking aid (Femurett or PPam aid).

    T2) Following delivery of the prosthesis when the patient can safely mobilise two lengths of the parallel bars, independently with or without a walking aid.

    T3) When the patient is being discharged and is mobilising independently indoors with appropriate walking aids.

    Pressure measurements will be taken using an F-scanner insole inserted into the patient’s shoe. The F-scanner is CE marked and used within clinical practise. The F-scanner will allow for measurements of overall pressures in the feet and patterns of pressure distribution, amount of time spent on and off the foot and number of steps.

    Patient will be under the care of the amputee physiotherapy team at the Royal Free Hospital and will be being reviewed as either an inpatient or outpatient. The study will be completed over an eighteen month time period. Measurements will co-incide with routine physiotherapy treatment intervention.

  • REC name

    West of Scotland REC 3

  • REC reference

    15/WS/0092

  • Date of REC Opinion

    27 May 2015

  • REC opinion

    Further Information Favourable Opinion